Individual
ANATOLY DEMERTSIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
950 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1001
(617) 441-1800
Mailing address
950 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1001
(617) 441-1800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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